FAQ – Professionals
THYROID AND PARATHYROID SURGERY
At what point in thyroidectomy is the use of the device of interest? And which one?
After medialization of the first and second lobes, to detect the parathyroid glands by autofluorescence,
On the lobe ex vivo, after resection, to check by autofluorescence the presence of inadvertently resecated parathyroid glands,
After injection of indocyanin green during the dissection of the second lobe to visualize the vessels that vascularize the parathyroids,
At the end of surgery with injection of inindocyanin green to check the vascularization of the parathyroid glands left in situ.
Does the use of the device extend the duration of the surgery?
Yes, the use of the device extends the duration of the intervention by about 2 to 5 minutes.
Are false positives observed? If so, which ones?
Yes, some tissues or organs can also emit an autofluorescence signal, such as the thyroid, thyroid nodules (colloid), brown fat and lymph nodes.
Est-ce que lAre the pathological parathyroid glands autofluorescent?
Yes, pathological parathyroid glands also emit an autofluorescence signal. In general, this signal is often heterogeneous and weaker than that observed for normal parathyroid glands.
What is the dose of green of indocyanin to inject?
The recommended dose of indocyanin green is 0.1mg/kg.
PLASTIC AND RECONSTRUCTIVE SURGERY
Does the device estimate the intensity of the fluorescent signal?
The software has an acquisition mode that makes it possible to carry out measurements of relative quantification of the observed fluorescent signal.
What is the dose of green of indocyanin to inject?
The recommended dose of indocyanin green is 0.1mg/kg.
How long do I have to wait for the ICG to spread to my patient?
30sec to 1 min after intravenous injection of indocyanin green, the rise of the fluorescent signal is observed. After 3 minutes, it is estimated that the ICG spread homogeneously over the observed area.
LYMPHATIC SURGERY
Is indocyanin green allowed for the detection of sentinel lymph node in gynecology?
Since June 2022, the drug Infracyanine®, has a marketing authorization in France, restricted to the detection of sentinel lymph node in patients with breast cancer.
What is the dose of green of indocyanin to inject?
It is recommended to inject 2 ml in periaréolaire, at 2 injection sites.
What is the recommended waiting time between the injection and the incision in the axillary cavity?
The recommended waiting time between the injection and the incision is 10 to 15 minutes.
FLUOBEAM® LX
What is the FLUOBEAM® LX?
FLUOBEAM® LX is an imaging device exclusively dedicated to thyroid and parathyroid surgery. It makes it possible to detect parathyroid glands in autofluorescence with optimized image fluidity, great depth of field and use compatible with the ambient lighting of the operating room.
FLUOBEAM® LM
What is the FLUOBEAM® LM?
FLUOBEAM® LM is an integrated fluorescence imaging solution that provides the surgeon, during the procedure, with information invisible to the naked eye such as tissue perfusion, lymphatic drainage status, or lymph node location. It thus makes it possible to make appropriate decisions, in order to reduce the rate of complications. Its ease of use and image analysis capabilities make it a major asset for surgeons.
Web Masterclass
What is a Masterclass?
These one-hour online sessions with experienced surgeons who give the opportunity to discuss the contributions of fluorescence imaging dedicated to surgery.
Is registration for a Web Masterclass paid?
Registration for a Web Masterclass is free.
Can we access the replays of the sessions?
Yes, it is possible to access Web Masterclass replays. Either by registering for the sessions or by submitting the contact form.
Masterclass
What is a Masterclass?
A masterclass is an intensive one-day workshop to learn or even improve your fluorescence imaging skills used for thyroid surgery. In small groups of surgeons, you will attend surgeries directly to deepen your knowledge on the identification of parathyroid glands by autofluorescence and their vascularization with the injection of indocyanin green. These interventions will be carried out with the new FLUOBEAM® LX fluorescence imaging system, a system dedicated to thyroid and parathyroid surgeries.
Who can participate?
These workshops are open to surgeons who wish to discover or deepen their knowledge of fluorescence imaging in thyroid and parathyroid surgery.
Is registration for a Masterclass paid?
Registration for a masterclass is free. Accommodation remains the responsibility of the participant.